Kristine J Concepcion, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS040111 Issued in PA

Practice address

8001 Roosevelt Blvd Ste 503
Philadelphia, PA 19152-3041

Phone

(855) 342-5336

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1356744502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD STE 503",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523041",
            "telephone_number": "855-342-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD STE 503",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523041",
            "telephone_number": "855-342-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "KRISTINE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian P Conboy, CRNP
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• Concentra Health Services, Inc
• Concentra Health Services, Inc.
• Maria Victoria Concepcion Delgado
• Sheila Concepcion, O.D.
• Concern Home Care
• Concierge Physical Therapy, LLC (Concierge Physical Therapy& Wellness)
• Concierge Spine and Sports Medicine, PC
• Concorde, Inc.

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.